Top 84 Referral specialist Jobs in Glendale Az

Referral Specialist
TriWest Healthcare Alliance —Phoenix, AZ
- $40,000 - $45,000 a year
- Overtime
- Microsoft Outlook
- Computer literacy
- HIPAA
- AD&D insurance
- Disability insurance
Intake Specialist (In-Office if Local / Remote if Non-Local)
UNITED WOUND HEALING PS —Phoenix, AZ
- $19 - $23 an hour
- Overtime
- Microsoft Outlook
- Pass drug screening
- HIPAA
- AD&D insurance
- Paid holidays
Quick Apply
Mandatory Referral and Eligibility Coordinator
Cardiac Solutions —Peoria, AZ
- Overtime
- Mid-level
- Cardiology
- AD&D insurance
- Paid holidays
Referral Specialist Neurology
Banner Health —Mesa, AZ
- $19.06 - $28.60 an hour
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
Utilization Review Coordinator
Axiom Care —Phoenix, AZ
- Full-time
- Mid-level
- Residential
- Microsoft Office
- AD&D insurance
- Paid holidays
Quick Apply
7d
Insurance Authorization Rep
Blue Cloud Pediatric Surgery Centers —Phoenix, AZ
- $18 - $20 an hour
- Overtime
- Remote
- Bachelor of Science
- Medical office experience
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Chemotherapy Insurance Authorization Specialist
Palo Verde Hematology Oncology LTD —Glendale, AZ
- Basic math
- HIPAA
- Mid-level
Quick Apply
5d
Prior Authorizations Rep
The Specialty Alliance —Glendale, AZ
- Full-time
- Mid-level
- 1 year
- Communication skills
Quick Apply
Benefits Specialist (NIGHTs)
Community Bridges, INC —Avondale, AZ
- Full-time
- Addiction Medicine
- Mid-level
- Residential
- Disability insurance
- Health insurance
Quick Apply
Eligibility Specialist- Full-Time
The CORE Institute | HOPCo —Phoenix, AZ
- Full-time
- Research
- Mid-level
- High school diploma or GED
- Health savings account
- Health insurance
Quick Apply
13d
RN Referral Management PRN Varied Shifts
Behavioral Health Connections —Tempe, AZ
- Per diem
- CPR Certification
- Nursing
- RN License
Prior Authorization Specialist
Foothills Neurology P C —Phoenix, AZ
- $20 - $25 an hour
- Medical office experience
- HIPAA
- Mid-level
Quick Apply
Referral Specialist
American Vision Partners —Tempe, AZ
- Full-time
- Spanish
- Surgery
- Medical office experience
- Paid holidays
- Health insurance
Prior Authorization Specialist
Pure Infusion —Phoenix, AZ
- $24 - $28 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Neurology
Quick Apply
Imaging & Referral Coordinator
The CORE Institute | HOPCo —Sun City West, AZ
- HIPAA
- Mid-level
- Analysis skills
Quick Apply
11h
Authorization Coordinator
Phoenix Heart PLLC —Glendale, AZ
- Customer service
- Mid-level
- High school diploma or GED
Dental Referral Marketer - Phoenix
Wisdom Teeth Guys —Phoenix, AZ
- $60,000 - $72,000 a year
- Full-time
- Dental office
- Mid-level
- Marketing
Quick Apply
Transplant Financial Coordinator
Mayo Clinic —Phoenix, AZ
- $29.38 - $39.67 an hour
- Full-time
- Hybrid work
- 5 years
- Mid-level
- High school diploma or GED
- Health savings account
- Health insurance
Insurance Verification Specialist
Suvida Healthcare —Phoenix, AZ
- Full-time
- Spanish
- BLS Certification
- English
- Paid parental leave
- Paid holidays
Quick Apply
6h
Infusion Authorization/Benefit Coordinator
ARIZONA ARTHRITIS & RHEUMATOLOGY ASSOCIATES PC —Glendale, AZ
- Private practice
- High school diploma or GED
- Computer skills
Quick Apply
4d

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Referral Specialist

TriWest Healthcare Alliance -
Phoenix, AZ

Apply Now

Job Details

Full-time
$40,000 - $45,000 a year

Benefits

AD&D insurance
Disability insurance
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Computer operation
High school diploma or GED

Full Job Description

We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI & WY only).

Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD background investigation for this position.

Veterans, Reservists, Guardsmen and military family members are encouraged to apply!

Ensures accuracy and completion of authorization data from customer information, medical records, referral/authorization forms, Military Treatment Facility electronic transmission and other documents into medical management system. Examine and evaluate document contents to ensure accuracy and to correct inconsistencies. Duties may be performed in a virtual environment. Maintains confidentiality of TriWest beneficiaries' health information.

Education & Experience

Required:

U.S. Citizenship
Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation
High School Diploma or G.E.D.
1 + year experience in health care operations performing data entry or customer service
Experience with Microsoft Office

Preferred:

Referral and authorization processing experience
Knowledge of medical terminology obtained through medical assistant certification or experience interpreting and applying ICD and CPT codes
Managed Care experience
TRICARE experience
Veteran or military spouse or military affiliated

Key Responsibilities

Assesses tasks for authorization/referral request to ensure accurate entry into the medical management system.
Identifies potential discrepancies in the medical management system to assure quality compliance.
Consistently meets department productivity and performance metrics.
Follow HIPAA compliance and TriWest confidentially guidelines.
Refers beneficiaries to network providers.
Resolves issues to complete care request.
Reads and comprehends diagnosis, procedures and requested service on incoming care requests.
Assists with resolving data quality issues by identifying, documenting, and communicating quality issues
Resolve process issues to ensure high quality service levels throughout TriWest. Seeks advice and escalates issues or problems as warranted.
Processes referrals for Behavioral Health, Specialty Care, Durable Medical Equipment, Inpatient Admissions, Military Treatment Facilities, and Urgent referral and authorization requests.
Assesses electronic documents to ensure appropriate entry into the medical management system.
Works with standard coding systems including: standard medical taxonomy, ICD-10, CPT and HCPCS codes.
Verifies beneficiary eligibility and ensures appropriate referral procedures are followed for the various types of TRICARE beneficiaries.
Ensures procedures are followed for referrals based on beneficiary eligibility type, geographical location, and on the provider's request.
Processes authorization requests and referral requests in the on-line medical management system.
Communicates with other departments, medical providers, and beneficiaries to clarify documentation prior to processing.
Performs other duties as assigned.
Regular and reliable attendance is required.

Competencies

Communication / People Skills: Ability to influence or persuade others under positive or negative circumstances; adapt to different styles; listen critically; collaborate.

Computer Literacy: Ability to function in a multi-system Microsoft environment using Word, Outlook, TriWest Intranet, the Internet, and department software applications.

Coping / Flexibility: Resiliency in adapting to a variety of situations and individuals while maintaining a sense of purpose and mature problem-solving approach is required.

Empathy / Customer Service: Customer-focused behavior; helping approach, including listening skills, patience, respect, and empathy for another's position.

Multi-Tasking / Time Management: Prioritize and manage actions to meet changing deadlines and requirements within a high volume, high stress environment.

Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.

Problem Solving / Analysis: Ability to solve problems through systematic analysis of processes with sound judgment; has a realistic understanding of relevant issues.

Technical Skills: Knowledge of TRICARE and the Military Health System programs; ability to use CHCS booking procedures, ATC standards and established clinic capability/booking protocols.

Working Conditions

Working Conditions:

Ability to cover any work shift
Ability to work overtime, if needed
Onsite: Works within a standard office environment
Remote: Private and secure workspace and workstation with high speed internet is required
Extensive computer work with prolonged sitting, wearing of headset, typing, speaking on a phone

Company Overview

Taking Care of Our Nation’s Heroes.

It’s Who We Are. It’s What We Do.

Do you have a passion for serving those who served?

Join the TriWest Healthcare Alliance Team! We’re On a Mission to Serve®!

Our job is to make sure that America’s heroes get connected to health care in the community.

At TriWest Healthcare Alliance, we’ve proudly been on that important mission since 1996.

DoD Statement

Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD background investigation for this position.

Benefits

We’re more than just a health care company. We’re passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes:

Medical, Dental and Vision Coverage
Paid time off
401(k) Retirement Savings Plan (with matching)
Short-term and long-term disability, basic life, and accidental death and dismemberment insurance
Tuition reimbursement
Paid volunteer time

TriWest job postings typically include a salary range, which can vary based on the specific role and location, but generally this position ranges from around $40,000 - $45,000 per year.

Equal Employment Opportunity

TriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that supports diversity at every organizational level, and we highly encourage candidates from all backgrounds to apply. Applicants are considered for positions based on merit and without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or any other consideration made unlawful by applicable federal, state, or local laws.

Apply Now

Refine Your Search

referral specialist jobs in glendale az

Referral Specialist

Intake Specialist (In-Office if Local / Remote if Non-Local)

Mandatory Referral and Eligibility Coordinator

Referral Specialist Neurology

Utilization Review Coordinator

Insurance Authorization Rep

Chemotherapy Insurance Authorization Specialist

Prior Authorizations Rep

Benefits Specialist (NIGHTs)

Eligibility Specialist- Full-Time

RN Referral Management PRN Varied Shifts

Prior Authorization Specialist

Referral Specialist

Prior Authorization Specialist

Imaging & Referral Coordinator

Authorization Coordinator

Dental Referral Marketer - Phoenix

Transplant Financial Coordinator

Insurance Verification Specialist

Infusion Authorization/Benefit Coordinator

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